Serkan Kitiş1, Serdar Çevik2,3, Atilla Kaplan4, Hakan Yılmaz5, Salim Katar6, Serhat Cömert7, Ülkün Ünsal8. 1. Neurosurgery, Bezmialem University, Istanbul, TUR. 2. Neurosurgery, Memorial Şişli Hospital, Istanbul, TUR. 3. School of Health Sciences, Gelişim University, Istanbul, TUR. 4. Department of Radiology, Yalova State Hospital, Yalova, TUR. 5. Radiology, Uşak University, Uşak, TUR. 6. Department of Neurosurgery, Balıkesir Üniversitesi, Balıkesir, TUR. 7. Department of Neurosurgery, Yenimahalle Training and Research Hospital, Ankara, TUR. 8. Department of Neurosurgery, Manisa Şehir Hospital, Manisa, TUR.
Abstract
OBJECTIVE: This study evaluates the relationship between degenerative and Modic changes (MCs) in the cervical spine and compares the results with the cervical sagittal balance parameters. METHODS: We retrospectively reviewed 275 patients with neck pain who applied to our outpatient clinic and underwent cervical magnetic resonance imaging (MRI) and cervical anteroposterior (AP)/lateral (Lat) X-ray radiography between January 2016 and January 2018. The clinics, demographic information, and radiological findings of the patients were examined. Modic changes, disc degeneration, and facet degeneration (FD) were examined by cervical MRI, and T1 slope and Cobb angle were measured by cervical AP/Lat X-ray radiography. These results were compared to evaluate their relations with each other. RESULTS: No relationship between the presence or absence of degenerative changes (Modic changes, facet degeneration, and disc degeneration) and sagittal balance parameters (T1 slope and Cobb angle) was found. However, when each cervical segment was examined separately, facet degeneration at the C4-C5 level and Modic changes at the C3-C4, C4-C5, and C6-C7 levels were statistically significant with the Cobb angles, and the Modic changes at the C3-C4 level and disc degeneration at the C2-C3 level were found to be significant with T1 slope values. CONCLUSIONS: Our findings indicate that MCs increased with decreased cervical curvature, increasing disc and facet degeneration, although the causal mechanisms are not clear.
OBJECTIVE: This study evaluates the relationship between degenerative and Modic changes (MCs) in the cervical spine and compares the results with the cervical sagittal balance parameters. METHODS: We retrospectively reviewed 275 patients with neck pain who applied to our outpatient clinic and underwent cervical magnetic resonance imaging (MRI) and cervical anteroposterior (AP)/lateral (Lat) X-ray radiography between January 2016 and January 2018. The clinics, demographic information, and radiological findings of the patients were examined. Modic changes, disc degeneration, and facet degeneration (FD) were examined by cervical MRI, and T1 slope and Cobb angle were measured by cervical AP/Lat X-ray radiography. These results were compared to evaluate their relations with each other. RESULTS: No relationship between the presence or absence of degenerative changes (Modic changes, facet degeneration, and disc degeneration) and sagittal balance parameters (T1 slope and Cobb angle) was found. However, when each cervical segment was examined separately, facet degeneration at the C4-C5 level and Modic changes at the C3-C4, C4-C5, and C6-C7 levels were statistically significant with the Cobb angles, and the Modic changes at the C3-C4 level and disc degeneration at the C2-C3 level were found to be significant with T1 slope values. CONCLUSIONS: Our findings indicate that MCs increased with decreased cervical curvature, increasing disc and facet degeneration, although the causal mechanisms are not clear.
Authors: M Matsumoto; E Okada; D Ichihara; K Chiba; Y Toyama; H Fujiwara; S Momoshima; Y Nishiwaki; T Takahata Journal: J Bone Joint Surg Br Date: 2012-05
Authors: Tetsuo Hayashi; Michael D Daubs; Akinobu Suzuki; Kevin Phan; Keiichiro Shiba; Jeffrey C Wang Journal: Eur Spine J Date: 2014-06-10 Impact factor: 3.134